Doctor Name: | KIMBERLEY HARMON |
NPI Number: | 1679959720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LD |
License Number: | 1868 |
Business Practice Address: | 4444 E 41st St 2nd Floor, Ste A Tulsa, OK - 741352527 |
Business Phone Number: | 9186194400 |
Business Fax Number: | 9186194334 |
Mailing Address: | Po Box 268838, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731268838 |
Phone Number: | 9186603632 |
Fax Number: | 9186603631 |
NPI Enumeration Date: | 07/30/2015 |
NPI Last Update Date: | 07/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1868 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |